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NPI Code Detail

MEDICARE: STEPHEN FAMILY DENTISTRY, PC

MEDICARE: STEPHEN FAMILY DENTISTRY, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry23615TX

General Provider Information

NPI Number : 1982843660
Entity Type Code : Organization
Provider Name (Legal Business Name) : STEPHEN FAMILY DENTISTRY, PC
Provider Business Mailing Address
First Line : 2037 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75217-1824
Country : US
Telephone Number : 214-398-2545
Fax Number : 214-398-2017
Provider Business Practice Location Address
First Line : 2037 S BUCKNER BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75217-1824
Country : US
Telephone Number : 214-398-2545
Fax Number : 214-398-2017
Authorized Official
Title or Position : PRESIDENT/DENTIST
Name : VALENTINE STEPHEN
Credential : DDS
Telephone Number : 214-398-2545
Provider Enumeration Date : 02/19/2009
Last Update Date : 02/19/2009

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Directions to “STEPHEN FAMILY DENTISTRY, PC ” Practice Location

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